Study of CC-5013 to Evaluate Safety, Pharmacokinetics and Effectiveness for Japanese Patients With Symptomatic Anemia Associated With Myelodysplastic Syndrome With a Del(5)(q31-33) Abnormality.

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Celgene Corporation
ClinicalTrials.gov Identifier:
NCT00812968
First received: December 17, 2008
Last updated: September 13, 2012
Last verified: September 2012
  Purpose

The purpose of this clinical experience study is to determine whether CC-5013 is safe and effective (to include studying the process by which a drug is absorbed, distributed, metabolized, and eliminated by the body [pharmacokinetics]) in Japanese subjects with low- or intermediate-1-risk MDS (IPSS risk categories) associated with a deletion 5(q31-33) abnormality and symptomatic anemia.


Condition Intervention Phase
Myelodysplastic Syndromes
Drug: Lenalidomide
Phase 2

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Multicenter, Single-arm Study to Assess the Safety, Pharmacokinetics and Efficacy of Lenalidomide in Japanese Subjects With Low- or Intern=Mediate-1-risk Myelodysplastic Syndromes (MDS) Associated With a Deletion 5 (q31-33) Abnormality and Symptomatic Anemia

Resource links provided by NLM:


Further study details as provided by Celgene Corporation:

Primary Outcome Measures:
  • Adverse events [ Time Frame: Approximately 3 years ] [ Designated as safety issue: Yes ]
    Number of participants with adverse events


Secondary Outcome Measures:
  • PK-(Cmax) [ Time Frame: Days 1 and 4 ] [ Designated as safety issue: No ]
    Maximum observed concentration in Plasma (Cmax)

  • PK-(Tmax) [ Time Frame: Days 1, 2, 4 and 5 ] [ Designated as safety issue: No ]
    Time to maximum concentration in plasma

  • PK-(AUC) [ Time Frame: Days 1, 2, 3,4 and 5 ] [ Designated as safety issue: No ]
    Area under the plasma concentration-time curve

  • PK-(T1/2) [ Time Frame: Days 1, 2, 4 and 5 ] [ Designated as safety issue: No ]
    Terminal half-life (T1/2)

  • Pk-(Vz/f) [ Time Frame: Days 1, 2, 3, 4 and 5 ] [ Designated as safety issue: No ]
    Apparent volume of distribution

  • PK-(CL/f) [ Time Frame: Days 1, 2, 3, 4 and 5 ] [ Designated as safety issue: No ]
    Oral clearance

  • PK-(λz) [ Time Frame: Days 1, 2, 3, 4 and 5 ] [ Designated as safety issue: No ]
    Apparent terminal elimination rate constant

  • Erythroid Response [ Time Frame: Up to 3 years ] [ Designated as safety issue: No ]
    Major and Minor erythroid response based on the International Working Group Criteria for measurement of Response/Treatment Effect

  • Change in hemoglobin [ Time Frame: Up to 3 years ] [ Designated as safety issue: No ]
    change of blood hemoglobin concentration from baseline in subjects who achieve an erythroid response

  • Neutrophil Response [ Time Frame: Up to 3 years ] [ Designated as safety issue: No ]
    Major and minor neutrophil response based on the International Working Group Criteria for Measurement of Response/Treatment Effect

  • Platelet Response [ Time Frame: Up to 3 years ] [ Designated as safety issue: No ]
    Major and minor erythroid response based on the International Working Group Criteria for Measurement of Response/Treatment Effect

  • Cytogenetic Response [ Time Frame: Up to 3 years ] [ Designated as safety issue: No ]
    Cytogenetic response based on the International Working Group Criteria for Measurement of Response/Treatment Effect

  • Bone Marrow Response [ Time Frame: Up to 3 years ] [ Designated as safety issue: No ]
    Bone marrow response based on the International Working Group Criteria for measurement of Response/Treatment Effect


Enrollment: 11
Study Start Date: September 2007
Study Completion Date: September 2010
Primary Completion Date: September 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Lenalidomide
Oral 10mg daily on Days 1-21 days every 28 days until disease progression/relapse or CC-5013 is permanently discontinued for any reason for up to 156 weeks (3 years).
Drug: Lenalidomide
Oral 10mg daily on Days 1-21 days every 28 days until disease progression/relapse or CC-5013 is permanently discontinued for any reason for up to 156 weeks (3 years).
Other Names:
  • CC-5013
  • Lenalidomide

  Eligibility

Ages Eligible for Study:   20 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Must understand and voluntarily sign an informed consent form.
  • Age ≥ 20 years at the time of signing the informed consent form.
  • Must be able to adhere to the study visit schedule and other protocol requirements.
  • Diagnosis of Myelodysplastic Syndrome (MDS) that meets International Prognostic Scoring System (IPSS) criteria for low- or intermediate-1-risk disease associated with a deletion 5(q31-33) abnormality
  • Symptomatic anemia secondary to MDS defined as:Untransfused Hb level < 10.0 g/dL and a Functional Assessment of Cancer Therapy (FACT)-anemia subscale score of ≤ 74 or Transfusion dependent anemia

Exclusion Criteria:

  • Pregnant or lactating females.
  • Any condition, including the presence of laboratory abnormalities, which places the subject at unacceptable risk if he/she were to participate in the study.
  • Prior therapy with lenalidomide.
  • Patients with any of the following laboratory abnormalities within 14 days of starting study drug: Absolute Neutrophil Count (ANC) < 750 cells/μL (0.75 x 10^9/L) Platelet count < 50,000/μL (50x10^9/L) Serum creatinine > 2.5 mg/dL Aspartate Aminotransferase (AST) or Alanine Aminotransferase (ALT) > 3.0 x Upper Limit of Normal (ULN)
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00812968

Locations
Japan
Celgene Clinical Site
Shimono, Tochigi, Japan, 329-0498
Celgene Clinical Site
Shibuya-ku, Tokyo, Japan, 150-8935
Celgene Clinical Site
Hiroshima, Japan, 734-8551
Celgene Clinical Site
Kyoto, Japan, 601-1495
Celgene Clinical Site
Osaka, Japan, 543-8555
Celgene Clinical Site
Shizuoka, Japan, 420-8527
Sponsors and Collaborators
Celgene Corporation
Investigators
Study Director: Masaaki Takatoku, MD Celgene Corporation
  More Information

No publications provided by Celgene Corporation

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Celgene Corporation
ClinicalTrials.gov Identifier: NCT00812968     History of Changes
Other Study ID Numbers: CC-5013-MDS-007
Study First Received: December 17, 2008
Last Updated: September 13, 2012
Health Authority: Japan: Pharmaceuticals and Medical Devices Agency
Japan: Ministry of Health, Labor and Welfare

Keywords provided by Celgene Corporation:
Myelodysplastic Syndromes
Lenalidomide

Additional relevant MeSH terms:
Congenital Abnormalities
Myelodysplastic Syndromes
Preleukemia
Bone Marrow Diseases
Hematologic Diseases
Precancerous Conditions
Neoplasms
Lenalidomide
Thalidomide
Antineoplastic Agents
Therapeutic Uses
Pharmacologic Actions
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs
Leprostatic Agents
Anti-Bacterial Agents
Anti-Infective Agents
Angiogenesis Inhibitors
Angiogenesis Modulating Agents
Growth Substances
Growth Inhibitors

ClinicalTrials.gov processed this record on May 21, 2013